新西兰驻华大使馆

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1、8新西兰驻华大使馆大使基金申请表（HOMF）说明：本项目用于资助小型村镇级项目，最高申请限额约为12,000新币。有关援助目的和条款请见具体指导原则。A申请机构情况项目名称：______________________________________________________项目地点（请附简图）：____________________________________________________________________________________________________

2、_____________________________________________________________________项目周期：_______________________________________________________开始日期：____________________完成日期：______________________(建议项目开始日期在申请截止日期三个月之后)申请金额（注明币种）：____________________________申请机构名称：___

3、___________________________________________________申请机构地址：__________________________________________________________________________________________________________________________________________________________________________________________________

4、_________________________________________________________________邮编：_________________电话：____________________________传真：______________________电子邮件：_________________________________________________________主要联系人姓名：_________________________________________

5、_执行机构名称（如果不同于申请机构）：_____________________________________________________________________执行机构地址：_____________________________________________________________________________________________________________________________________________________________

6、_______________________________________________________________________________________________________________________8注册号码（如果适用）：____________________________________申请机构和/或执行机背景资料，包括两者之间的关系：____________________________________________________________

7、____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8、____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________